Using data-driven approaches to improve delivery of animal health care interventions for public health.

Autor:	Mazeri S; The Epidemiology, Economics and Risk Assessment Group, The Roslin Institute and The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin EH25 9RG, United Kingdom; stella.mazeri@roslin.ed.ac.uk., Burdon Bailey JL; Mission Rabies, Blantyre, Malawi., Mayer D; Worldwide Veterinary Service, Blantyre, Malawi., Chikungwa P; Department of Animal Health and Livestock Development, Lilongwe, Malawi., Chulu J; Department of Animal Health and Livestock Development, Lilongwe, Malawi., Grossman PO; Mission Rabies, Blantyre, Malawi., Lohr F; Mission Rabies, Cranborne BH21 5PZ, United Kingdom., Gibson AD; The Epidemiology, Economics and Risk Assessment Group, The Roslin Institute and The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin EH25 9RG, United Kingdom.; Mission Rabies, Cranborne BH21 5PZ, United Kingdom., Handel IG; The Epidemiology, Economics and Risk Assessment Group, The Roslin Institute and The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin EH25 9RG, United Kingdom., Bronsvoort BMD; The Epidemiology, Economics and Risk Assessment Group, The Roslin Institute and The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Easter Bush Veterinary Centre, Roslin EH25 9RG, United Kingdom., Gamble L; Mission Rabies, Cranborne BH21 5PZ, United Kingdom., Mellanby RJ; Division of Veterinary Clinical Studies, The Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Hospital for Small Animals, Easter Bush Veterinary Centre, Roslin EH25 9RG, United Kingdom.
Jazyk:	angličtina
Zdroj:	Proceedings of the National Academy of Sciences of the United States of America [Proc Natl Acad Sci U S A] 2021 Feb 02; Vol. 118 (5).
DOI:	10.1073/pnas.2003722118
Abstrakt:	Rabies kills ∼60,000 people per year. Annual vaccination of at least 70% of dogs has been shown to eliminate rabies in both human and canine populations. However, delivery of large-scale mass dog vaccination campaigns remains a challenge in many rabies-endemic countries. In sub-Saharan Africa, where the vast majority of dogs are owned, mass vaccination campaigns have typically depended on a combination of static point (SP) and door-to-door (D2D) approaches since SP-only campaigns often fail to achieve 70% vaccination coverage. However, D2D approaches are expensive, labor-intensive, and logistically challenging, raising the need to develop approaches that increase attendance at SPs. Here, we report a real-time, data-driven approach to improve efficiency of an urban dog vaccination campaign. Historically, we vaccinated ∼35,000 dogs in Blantyre city, Malawi, every year over a 20-d period each year using combined fixed SP (FSP) and D2D approaches. To enhance cost effectiveness, we used our historical vaccination dataset to define the barriers to FSP attendance. Guided by these insights, we redesigned our vaccination campaign by increasing the number of FSPs and eliminating the expensive and labor-intensive D2D component. Combined with roaming SPs, whose locations were defined through the real-time analysis of vaccination coverage data, this approach resulted in the vaccination of near-identical numbers of dogs in only 11 d. This approach has the potential to act as a template for successful and sustainable future urban SP-only dog vaccination campaigns. Competing Interests: The authors declare no competing interest. (Copyright © 2021 the Author(s). Published by PNAS.)
Databáze:	MEDLINE
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